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1588039390
JONAH GOLDSTEIN
PROVIDENCE, RI
NPI
1588039390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MA 3978)
Enumeration Date
2015-12-04
Last Update Date
2015-12-04
Business Address
-- JONAH GOLDSTEIN
11 KNOWLES ST 2
PROVIDENCE, RI 02906-1709
Phone number: 401-484-2289
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Mailing Address
-- JONAH GOLDSTEIN
11 KNOWLES ST 2
PROVIDENCE, RI 02906-1709
Phone number: 401-484-2289
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